Horan, Roger Clinton
Horan, Roger Clinton is an sole proprietor health care provider with primary practice located at 4083 N Shiloh Dr Ste 9 , Fayetteville AR 72703-5201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Horan, Roger Clinton can be contacted via phone (479) 439-1696.Contact Information
Primary practice address
4083 N Shiloh Dr Ste 9
Fayetteville AR 72703-5201
Phone: (479) 439-1696
Fax: (479) 439-1998
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | M8819 | Idaho |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | E-6094 | Arkansas |
Profile Details
| NPI number | 1538101928 |
|---|---|
| LBN Legal business name | Horan, Roger Clinton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Jul 12th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538101928 | NPPES |
| Arkansas | MEDICAID | 178868001 |
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